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Inspection on 05/07/05 for Station House

Also see our care home review for Station House for more information

This inspection was carried out on 5th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home is for adults with severe learning difficulties and the service users are looked after well. The staff were seen to be following the individuals` care plans and working to maintain their current skill levels and take part in a variety of activities that they enjoy but would, without coaxing, not have been involved in. The building itself provides a pleasant and personalised environment for them to live in.

What has improved since the last inspection?

The home had few requirements made at the last inspection and, due to the manager not being on duty at the time of this visit, it was not possible to see whether or not some of these had improved since then.

What the care home could do better:

The home must ensure that both the manager and her staff receive regular recorded supervision at least six times a year to ensure that they are fully informed of any issues that may affect the welfare of the service users.

CARE HOME ADULTS 18-65 Station House Station Road Admaston Telford TF5 0AP Lead Inspector Michael Moloney Unannounced 5 July 2005 14.30 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Station House Address Station Road Admaston Telford TF5 0AP 01952 242648 01952 740262 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Overley Hall School Ltd Mrs C. Jackson Care Home 4 Category(ies) of 4 Learning Disability registration, with number of places Station House CS0000020580.V237322.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr OHagan should consult with the Commission for Social Care Inspection before using the fifth room in an emergency situation. 2. Mr OHagan should conduct Regulation 26 visits on a monthly basis and supply CSCI with a copy of his report. Date of last inspection 21st February 2005 Brief Description of the Service: Station House is a detached property situated in Admaston, Telford. The home offers access to local amenities that include a post office, public house, grocery store, hairdressers and church. The property is in keeping with the local community.The home is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and person care for a maximum of four people with a learning disability. Ms Cheryl Jackson is the Registered Manager of the home. She has been employed by the organisation for numerous years before taking up the manager’s position at Station House in 1997. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As Station House has a consistent history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work including some minor shortfalls noted at the last inspection. The inspection was carried out during the late afternoon. Two of the service users were at home at the start of the visit and the other two returned later. The nature of the disabilities of the service users made it difficult to include them in any discussions although this was achieved to a limited degree. The staff on duty were able to provide the information required and the home’s records were also consulted. One of the service users was particularly agitated by the presence of a stranger and made it clear that the inspector should leave; a wish that was respected. The visit lasted for three hours ending just before the evening meal started. The registered manager was not on duty at the time of the inspection therefore some of the requirements made at the last inspection could not be assessed. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that both the manager and her staff receive regular recorded supervision at least six times a year to ensure that they are fully informed of any issues that may affect the welfare of the service users. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Station House CS0000020580.V237322.R01.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x These standards have not been inspected as no service users have been admitted for some time and none are likely to be in the foreseeable future. EVIDENCE: Station House CS0000020580.V237322.R01.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans contained the information that would enable staff to work towards the service users’ goals. Given the range of needs and the dependency levels of the service users these had, of necessity, involved very little direct input from some of the individuals concerned. However, some of the service users were able to express their views and the staff confirmed that they had been asked for them before the plans were agreed. These plans had been reviewed by staff on a regular basis. In talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed when they should not for safety reasons. Various elements identified within the Individual Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 10 Station House CS0000020580.V237322.R01.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 and 16. Residents are helped and encouraged to keep in contact with their friends and families and make good use of the local facilities. EVIDENCE: Some of the service users are involved with activities organised by local colleges and those that did were enthusiastic about this. The staff explained that attendance at these sessions was dependent upon the individual’s mood on the day. The service users are also encouraged to take part in the normal daily activities of running the home such as shopping for food or their own needs as part of their life skills training as all had learning objectives that could be met by these activities. The staff also spoke of visits to other local amenities that gave the service users the chance to be part of the community. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 12 The families of the service users all live some distance from the home but the home staff assist with transporting the service users when they visit them. The daily routines for each of the service users was outlined within their personal files and the staff seemed to be well aware of these and were seen to be meeting them in a way that protected the dignity and privacy of the individuals. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19and 20 The personal and healthcare needs of the service users are met. EVIDENCE: The records contained instructions about how each individual service user preferred to be approached and helped. Staff seemed to be aware of these likes and dislikes from the way that they were seen to be talking and interacting with them. They were also discreet in the way that they dealt with the personal care of people who needed it with all of the service users looking tidy and well cared for. Unfortunately one of the service users is currently in need of medical assistance and the staff confirmed that this is provided with good access to both specialists and general practitioners. The home has to manage the medication for the service users. Staff confirmed that they have received training in the administration and storage of medication and it was clear from the records that the home’s policies and procedures were being followed ensuring that the right people get the correct medication at the right times. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The staff reported that they were unaware of any complaints or any allegations of abuse being made since the last inspection. The home had a copy of their complaints procedure which complied with the local policies and procedures for the protection of vulnerable adults both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of the service users means that they are unlikely to be able to access these formal policies observation of the staff interacting with them and communicating between themselves indicated that they would be aware of any dissatisfaction expressed and it was seen that a whistle blowing policy is available to be used. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in Admaston and is an older property that has been converted to its present use in a sensitive and practical manner that is consistent with others in the neighbourhood. The home does not have its own laundry facilities as they make use of the services at Overly Hall, another registered organisation owned by the same company. This service is provided on a daily basis and the staff said that it is effective. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 The formal supervision of staff is inadequate and must be improved. EVIDENCE: Conversations with staff concluded that they do not receive structured and recorded supervision from their managers. Therefore there is no record of any specific work being carried out by individual staff with individuals or groups of service users, support and professional guidance, identification of training needs and discussions of the home’s philosophies and how they translate into individuals goals. The staff also confirmed that they are appraised annually. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Outstanding issues from the last inspection could not be progressed as the manager was not present. Safe working practices are followed and monitored within the home. EVIDENCE: There were records kept in the home that showed safety issues such as hot water temperature controls and fire procedures are monitored regularly. The home also has a full risk assessment process, the results of which could be found in appropriate places such as individuals files and for the more general issues, centrally in the office. Station House CS0000020580.V237322.R01.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Station House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x CS0000020580.V237322.R01.doc Version 1.30 Page 19 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 36 Regulation 18, 10, 9, 7 Requirement Timescale for action Immediate 2. 39 12(1)a, 24 (1)(a)(b) 3. 39 26 All staff must receive formal, documented supervision. This standard is outstanding from the last inspection in respect of the manager. The results of the quality 12.09.05 questionnaire must be compiled and a report included in the service users guide. (this could not be be fully assessed on this occasion as the manager was not on duty) Regulation 26 visits and reports 12.09.05 must be completed by a manager independent of the home (not assessed on this occasion) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Station House CS0000020580.V237322.R01.doc Version 1.30 Page 20 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Station House CS0000020580.V237322.R01.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!